Brian Carr, MD
Orthopaedic Surgery · Las Vegas, NVNPI 1225175524
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $71,958 of the $91,458 with a category attached, or 78.7%. Pacira Pharmaceuticals Incorporated accounts for 92.5% of it on its own, with 19 other manufacturers making up the rest. Reporting peaked in 2023 at $55,268 and has fallen 95.8% since, to $2,327 in 2025. Among orthopaedic surgery clinicians in NV with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 159 payments — averaging $575.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pacira Pharmaceuticals Incorporated$85K
- Stryker$2K
- Shoulder Innovations, Inc.$2K
- Exactech, Inc.$923
- Smith+Nephew$687
- Aroa Biosurgery Incorporated$308
- plus $2K from 14 others
What the payments were for
- Consulting fees$71,95879%
- Speaking & faculty fees$5,5106%
- Travel & lodging$7,3478%
- Food & beverage$6,6207%
- Gifts$240%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | 79 | $84,644 |
| Stryker | 18 | $1,830 |
| Shoulder Innovations, Inc. | 4 | $1,549 |
| Exactech, Inc. | 6 | $923 |
| Smith+Nephew | 23 | $687 |
| Aroa Biosurgery Incorporated | 11 | $308 |
| Anika Therapeutics, Inc. | 2 | $273 |
| UOC USA Inc | 2 | $263 |
| Miach Orthopaedics, Inc. | 1 | $244 |
| Musculoskeletal Transplant Foundation Inc. | 1 | $154 |
| Medacta USA, Inc. | 1 | $140 |
| Globus Medical | 1 | $120 |
| Myoscience Inc. | 1 | $94 |
| Johnson & Johnson | 2 | $50 |
| US Implant Solutions, LLC | 1 | $46 |
| Boston Scientific | 2 | $40 |
| Conformis, Inc. | 1 | $36 |
| Orthofix Medical, Inc. | 1 | $23 |
| Pylant Medical | 1 | $22 |
| Goode Surgical Inc | 1 | $12 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Iovera$67,990
- EXPAREL$30,216
- Zilretta$15,636
- InSet System$1,436
- IOVERA SYSTEM$1,105
- MAKO$548
- RESTORATION$528
- EQUINOXE$442
- VANTAGE$357
- TACTOSET$273
- U2, PSA, Conformity, U-Motion II and USTAR II$188
- REUNION$167
- GAMMA$150
- GMK SPHERE$140
- NOVATION HIP$137
- OPTETRAK$137
- Proximal Humerus Strut$120
- PICO$117
- Navio Surgical System$107
- VISIONAIRE Cutting Guides$107
How this compares
$91,458 in reported general payments places this provider in the 90th percentile of 135 orthopaedic surgery providers in Nevada.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 87 | $1,174 |
| Ibuprofen | 156 | $1,151 |
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 51 | $138 |
Paid to pharmacies, not to this prescriber.
Other orthopaedic surgery in Las Vegas
- Mark BarryLas Vegas$9.5M
- Erik KubiakLas Vegas$7.8M
- Russell NevinsLas Vegas$1.5M
- Vladimir SinkovLas Vegas$434K
- Ronald HillockLas Vegas$275K
- Galen KamLas Vegas$270K
- Michael DaubsLas Vegas$215K
- John BaldaufLas Vegas$117K
- Brandon RomeroLas Vegas$72K
- Matthew BudgeLas Vegas$71K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.